| NPI | 1669429262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE M HAWKINS President/Secretary/Treasurer 503-631-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR MD12758) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-03-07 |